Search Results (364)

Background: Drug–drug interactions (DDIs) may occur when two or more drugs are taken together, leading to undesired side effects or potential synergistic effects. Most clinical effects of drug combinations have not been assessed in clinical trials. Therefore, predicting DDIs can provide better patient management, avoid drug combinations that can negatively affect patient care, and exploit potential synergistic combinations to improve current therapies in women’s healthcare. Methods: A DDI prediction model was built to describe relevant drug combinations affecting reproductive treatments. Approved drug features (chemical structure of drugs, side effects, targets, enzymes, carriers and transporters, pathways, protein–protein interactions, and interaction profile fingerprints) were obtained. A unified predictive score revealed unknown DDIs between reproductive and commonly used drugs and their associated clinical effects on reproductive health. The performance of the prediction model was validated using known DDIs. Results: This prediction model accurately predicted known interactions (AUROC = 0.9876) and identified 2991 new DDIs between 192 drugs used in different female reproductive conditions and other drugs used to treat unrelated conditions. These DDIs included 836 between drugs used for in vitro fertilization. Most new DDIs involved estradiol, acetaminophen, bupivacaine, risperidone, and follitropin. Follitropin, bupivacaine, and gonadorelin had the highest discovery rate (42%, 32%, and 25%, respectively). Some were expected to improve current therapies (n = 23), while others would cause harmful effects (n = 11). We also predicted twelve DDIs between oral contraceptives and HIV drugs that could compromise their efficacy. Conclusions: These results show the importance of DDI studies aimed at identifying those that might compromise or improve their efficacy, which could lead to personalizing female reproductive therapies. Full article

Rice seed storage proteins (SSPs) play a critical role in determining the nutritional quality, cooking properties, and digestibility of rice. To enhance seed quality, CRISPR/Cas9 genome editing was applied to modify SSP composition by targeting genes encoding 13 kDa prolamins and type A glutelins. Three CRISPR/Cas9 constructs were designed: one specific to the 13 kDa prolamin subfamily and two targeting conserved GluA glutelin regions. Edited T₀ and T₁ lines were generated and analyzed using InDel analysis, SDS-PAGE, Bradford assay, and RP-HPLC. Insertions were more frequent than deletions, accounting for 56% and 74% of mutations in prolamin and glutelin genes, respectively. Editing efficiency varied between sgRNAs. All lines with altered protein profiles contained InDels in target genes. SDS-PAGE confirmed the absence or reduction in bands corresponding to 13 kDa prolamins or GluA subunits, showing consistent profiles among lines carrying the same construct. Quantification revealed significant shifts in SSP composition, including increased albumin and globulin content. Prolamin-deficient lines showed reduced prolamins, while GluA-deficient lines exhibited increased prolamins. Total protein content was significantly elevated in all edited lines, suggesting enrichment in lysine-rich fractions. These findings demonstrate that CRISPR/Cas9-mediated editing of SSP genes can effectively reconfigure the rice protein profile and enhance its nutritional value. Full article

The gut microbiota and its interaction with the nervous system through the gut–brain axis (MGB) have been the subject of growing interest in biomedical research. It has been proposed that modulation of microbiota using probiotics could offer a promising therapeutic alternative for mood regulation and the treatment of anxiety and depression disorders. The findings indicate that several probiotic strains, such as Lactobacillus and Bifidobacterium, have demonstrated anxiolytic and antidepressant effects in pre and clinical studies. These effects seem to be mediated by the regulation of the hypothalamic–pituitary–adrenal axis (HPA), the synthesis of neurotransmitters such as serotonin (5-HT) and Gamma-amino-butyric acid (GABA), as well as the modulation of systemic inflammation. However, the lack of standardization in dosing and strain selection, in addition to the scarcity of large-scale clinical studies, limit the applicability of these findings in clinical therapy. Additional research is required to establish standardized therapeutic protocols and better understand the role of probiotics in mental health. The aim of this narrative review is to discuss the relationship between the gut microbiota and the MGB axis in the context of anxiety and depression disorders, the underlying neurobiological mechanisms, as well as the preclinical evidence for the effect of probiotics in modulating these disorders. In this way, an exhaustive search was carried out in scientific databases including PubMed, ScienceDirect, Scopus, and Web of Science. Preclinical research evaluating the effects of different probiotic strains in animal models during chronic treatment was selected, excluding those studies that did not provide access to the full text. Full article

Background: Sexuality is a central aspect of being human, even if people experience it in different ways in various stages of life. Sexuality in older people may be expressed, as well as affection, companionship, touch, and physical contact. However, older peoples’ sexual needs are not properly considered by themselves, caregivers, or healthcare professionals. Reviews on barriers related to identification and satisfaction of sexual needs of people living in nursing home are scarce. In this scenario we intended to summarize the state of evidence regarding sexual need identification and satisfaction among older people living in nursing homes and possible barriers that could limit sexual need identification and satisfaction. Methods: We carried out a narrative review. The included studies responded to the research question, using the following key words: nursing homes, sexuality or sexual need, or sexual behavior, older people. Searched databases included PubMed, Embase, CINAHL, PsycInfo, and Scopus. Results: After searching and screening we included 22 studies, finding three main topics: 1. identification of sexual needs by residents and healthcare personnel attitude and practice; 2. barriers and reasons hindering the identification of sexual needs; and 3. manifestation and satisfaction of sexual needs. Conclusions: The findings showed that nursing homes’ residents have different sexual needs, but there are many organizational, educational, and cultural barriers and negative attitudes of healthcare personnel. Supporting nursing home residents to express their sexual needs is a challenge for the healthcare professionals and managers of nursing homes. Full article

Sarcomas are heterogeneous mesenchymal tumors, and their pharmacological treatment remains challenging due to the high toxicity and poor efficacy of current therapies. This study aimed to identify common overexpressed kinases in the four most frequent sarcoma subtypes to establish novel therapeutic targets. A bioinformatics approach using patient-derived gene expression data sets identified overexpressed kinases shared across these sarcoma types. Later, BUB1 was determined as the kinase consistently overexpressed across the osteosarcoma, liposarcoma, leiomyosarcoma, and synovial sarcoma. Moreover, the role of this kinase was further validated through molecular and functional assays, including pharmacological inhibition in cell lines derived from the four sarcoma subtypes. BUB1 inhibition reduced the phosphorylation of AKT and H2A proteins, precluded cell proliferation, and inhibited colony formation in sarcoma cells. Finally, overall survival analysis highlighted a strong correlation between high BUB1 expression and poorer survival rates in sarcoma patients. Altogether, these findings underscore the potential of BUB1 as a therapeutic target and prognostic marker in sarcomas. Targeted inhibition of BUB1 may provide a novel strategy to reduce tumor growth and improve outcomes for patients with bone and soft tissue sarcomas. Full article

Dengue mortality has traditionally been associated with severe thrombocytopenia and hemorrhagic complications. However, during 2024, dengue virus serotype 3 (DENV-3) increased significantly in western Mexico, leading to the emergence of a distinct clinical pattern. We conducted a retrospective cohort study of hospitalized dengue patients at the General Hospital of Colima (January–August 2024). Clinical features, laboratory parameters, and outcomes were compared between survivors and non-survivors. Among 201 hospitalized patients, 6 (3.0%) died. All deceased patients presented with generalized seizures, polyserositis (pleural effusion and/or ascites), and required mechanical ventilation. Contrary to classical patterns, they did not have severe thrombocytopenia. Instead, they showed significantly higher white blood cell counts and notably increased levels of serum urea and BUN, suggesting early renal impairment. ROC analysis indicated that BUN (AUC 0.904) and urea (AUC 0.906) were good to excellent discriminators of mortality. During 2024, with an increase in DENV-3 circulation, mortality was associated with neurological and systemic complications, including seizures and polyserositis, as well as biochemical evidence of renal dysfunction—but not with severe thrombocytopenia. These findings challenge current paradigms and highlight the need for early recognition of atypical clinical patterns. Full article

Asparagus decline syndrome (ADS) poses a significant threat to asparagus cultivation worldwide. To address this challenge, a two-year investigation was carried out in Spain to assess the impacts of three soil disinfection strategies on asparagus crops. These included biofumigation with Brassica carinata seed pellets, biofumigation using poultry manure pellets, and chemical disinfection with dazomet. In addition to evaluating the potential of these treatments to alleviate ADS, the research also focused on identifying the physiological changes linked to the syndrome by examining indicators of oxidative metabolism, hormonal equilibrium, and phenolic compound profiles. Among the treatments evaluated, biofumigation with B. carinata pellets enhanced vegetative growth, photosynthetic pigment accumulation, antioxidant capacity, and hormonal homeostasis, with these improvements becoming more pronounced in the second year. This approach appeared to promote a healthier physiological status in asparagus plants, likely through improved soil health and reduced biotic and abiotic stress perception. In contrast, chemical disinfection with dazomet, despite initially stimulating some physiological responses, was associated with elevated oxidative stress. Overall, the findings suggest that organic-based soil treatments, particularly B. carinata biofumigation, represent a promising strategy to strengthen asparagus vigor and resilience against ADS. Further studies are needed to assess their long-term effects in perennial cultivation systems. Full article

Phenolic compounds are important targets in olive breeding due to their health benefits and impact on fruit and oil quality. Fruit phenolic profiling enables efficient screening of large germplasm collections without oil extraction, but environmental variability, especially year-to-year differences, affects their expression. The aim of this study was to assess the genotypic influence on fruit phenolic composition, based on a three-year evaluation of 10 wild olive genotypes and 75 cultivars from an olive core collection. Each genotype was sampled in at least two seasons, with 1 to 3 trees analyzed annually. Variance analysis revealed significant genetic variation among cultivars and notable genotype-by-year interactions for certain phenolics. Broad-sense heritability was generally high for most compounds, although some, such as ligstroside and ligstroside aglycone, showed greater environmental sensitivity. Best linear unbiased predictions (BLUPs) were highly correlated with average relative phenotypic values. Clustering analyses identified strong associations among key phenolic compounds and highlighted distinct metabolic profiles separating wild and cultivated genotypes, reflecting differences in phenolic accumulation patterns. These findings demonstrate the genetic and environmental influences on olive fruit phenolics and provide reliable estimates to support future marker-assisted selection studies aimed at developing useful tools in olive breeding programs. Full article

Background/Objectives: Root canal infections represent a serious challenge to the success of endodontic treatment. The most commonly used antimicrobial irrigants, such as sodium hypochlorite (NaOCl), have certain limitations, while endodontic biofilms pose a significant microbiological complexity in the endodontic field. Silver nanoparticles (AgNPs) have emerged as a promising irrigant option in root canal treatments; however, few studies are focusing on endodontic biofilms. This work aimed to evaluate the antimicrobial and anti-adherence properties of AgNPs against clinically isolated bacteria taken directly from patients with various pulp and periapical diseases. Methods: AgNPs of two sizes were synthesized and characterized. The bactericidal and anti-adherence activities of AgNPs were evaluated through microbiological assays using experimental in vitro and ex vivo tests on oral biofilms taken from patients with symptomatic apical periodontitis (AAP) and pulp necrosis (PN). NaOCl solution was used as the gold standard. Results: The size of AgNPs was uniformly distributed (13.2 ± 0.4 and 62.6 ± 14.9 nm, respectively) with a spherical shape. Both types of nanoparticles exhibited good antimicrobial and anti-adherence activities in all microbiological assays, with a significant difference from NaOCl for in vitro and ex vivo models (p < 0.05). The inhibitory activity of AgNPs is mainly related to the type of microbiological sample and the exposure time. The antibacterial substantivity of both nanoparticle sizes was time-dependent. Conclusions: AgNPs may represent a promising antimicrobial option as an endodontic irrigant during conventional root canal treatments to prevent and control endodontic infections. Full article

This study investigated the meat quality, sensory properties and microbiology of Angus beef after a short dry or wet aging. For that, a total of 16 Biceps femoris muscles from female Aberdeen Angus x Charoles calves were used. Half of these underwent a technological aging process in the carcass (dry aging) for 7 days, whilst the remaining were filleted, vacuum-packed and stored at refrigerated conditions (wet aging) for 7 days at 4 ± 2 °C. The type of aging affected the ratio of the myoglobin forms but did not translate into differences in the instrumental colour measurements. Dry aging led to minor water release after the application of a force (17.58 dry-aged vs. 31.09 wet-aged) or after cooking and yielded higher hardness and lower shear force in the Warner–Braztler shear force test compared to wet aging. Nevertheless, these differences were not appreciated at the sensory level. Higher counts of mesophilic aerobic bacteria (11.66%) and enterobacteria (3.68%) were found in samples subjected to dry aging. Full article

Nowadays, the evolution and growth of machine learning (ML) algorithms and the Internet of Things (IoT) are enabling new applications. Smart weapons and people detection systems are examples. Firstly, this work takes advantage of an efficient, scalable, and distributed system, named SmartFog, which identifies people with weapons by leveraging edge, fog, and cloud computing paradigms. Nevertheless, security vulnerabilities during data transmission are not addressed. Thus, this work bridges this gap by proposing a secure data transmission system integrating a lightweight security scheme named GS3. Therefore, the main novelty is the evaluation of the GS3 proposal in a real environment. In the first fog sublayer, GS3 leads to a 14% increase in execution time with respect to no secure data transmission, but AES results in a 34.5% longer execution time. GS3 achieves a 70% reduction in decipher time and a 55% reduction in cipher time compared to the AES algorithm. Furthermore, an energy consumption analysis shows that GS3 consumes 31% less power than AES. The security analysis confirms that GS3 detects tampering, replaying, forwarding, and forgery attacks. Moreover, GS3 has a key space of $2^{544}$ permutations, slightly larger than those of Chacha20 and Salsa20, with a faster solution than these methods. In addition, GS3 exhibits strength against differential cryptoanalysis. This mechanism is a compelling choice for energy-constrained environments and for securing event data transmissions with a short validity period. Moreover, GS3 maintains full architectural transparency with the underlying armed detection system. Full article

Background: Correct assessment of resting metabolic rate (RMR) is fundamental for estimating total energy expenditure in both clinical nutrition and sports sciences research. Various methods have been proposed for RMR determination, including predictive equations, isotopic dilution techniques, and indirect calorimetry. Over the past two decades, portable gas analyzers have emerged as promising alternatives, offering more accessible and cost-effective solutions for metabolic assessment. However, evidence regarding their validity remains inconsistent, particularly across diverse populations and varying metabolic assessment protocols. Methods: This systematic review was conducted in May 2025 using the PubMed, Web of Science, and EBSCO databases, following the PRISMA-DTA guidelines, and included observational studies with the objective of examining the available evidence regarding the validity of portable gas analyzers to determine RMR in humans. The methodological quality of each study was assessed using the NIH Quality Assessment Tool for Observational Cohort and Cross-Sectional Studies. Results: From an initial pool of 230 studies, 16 met the eligibility criteria. The findings revealed notable variability in measurement validity among devices, mainly influenced by device model, population characteristics, and methodological factors. While portable analyzers such as FitMate and Q-NRG exhibited high validity, MedGem exhibited systematic biases, particularly in individuals with higher adiposity, leading to RMR overestimations. Conclusions: The main results demonstrated the critical need for rigorous validation of portable gas analyzers before their implementation in clinical and research settings to ensure their applicability across diverse populations and metabolic assessments. Full article

Hepatocellular carcinoma (HCC) imposes a significant burden on global public health. Exposure to aflatoxins, potent mycotoxins produced by Aspergillus fungi contaminating staple foods, and chronic hepatitis B virus (HBV) infection are major etiological factors, especially where they co-exist. This review examines the critical role of the p53 tumor suppressor pathway as a primary target and convergence point for the carcinogenic actions of aflatoxins and HBV. Aflatoxin B₁ (AFB₁), a Group 1 carcinogen, exerts significant genotoxicity, characteristically inducing a specific hotspot mutation (R249S) in the TP53 gene via DNA adduct formation, thereby compromising p53’s critical tumor suppressor functions. This R249S mutation is considered a molecular fingerprint of aflatoxin exposure. Concurrently, the HBV X protein (HBx) functionally inactivates wild-type p53 through direct binding and by promoting its degradation. The synergistic disruption of the p53 pathway, driven by AFB₁-induced mutation and amplified by HBV-mediated functional inhibition, significantly enhances the risk of HCC development. This review addresses how aflatoxin exposure alters key aspects of p53 and how this damage interacts with HBV-mediated p53 suppression, providing crucial insights into hepatocarcinogenesis. The knowledge synthesized here underscores the importance of mitigating aflatoxin exposure alongside HBV control for effective HCC prevention and treatment strategies. Full article

This study reports the effects of pH culture on multi-biofuel production (hydrogen, ethanol, and 2,3-butanediol) by Enterobacter cloacae K1ga, isolated from koala and adapted to grow in 100 g dm⁻³ glucose. Batch cultures were performed in 1 dm³ bioreactors, controlling the pH at 5.5, 6.5, 7.5, and 9.2. Furthermore, cultures without pH control (with an initial pH of 9.2) were used as reference cultures. Controlling pH at 9.2 was detrimental to E. cloacae K1ga as no growth or biofuel production was observed. In contrast, reference cultures reached a maximum 2,3-butanediol (BDO) production (BDOP) of 22.9 ± 2.1 g dm⁻³ and ethanol production (EP) of 9.9 ± 0.7 g dm⁻³ and the highest hydrogen production (HP) of 2013.1 ± 275.7 cm³ dm⁻³. Meanwhile, a pH of 7.5 increased the accumulation of ethanol, obtaining the highest EP (14.0 ± 0.05 g dm⁻³). On the contrary, a pH of 5.5 was unfavourable for the fermentative metabolism of E. cloacae K1ga, showing the lowest production rates for the three biofuels and also the lowest EP (8.05 ± 0.35 g dm⁻³). The results demonstrate that the natural progression of pH during the growth of E. cloacae K1ga is an advantageous strategy for multi-biofuel production, since no tight pH control system is required. Full article

Background/Objectives: Unwanted loneliness is the gap between the social relations a person has and those they want. The main objective of this research is to assess the impact of a multidimensional community-based intervention on the feeling of unwanted loneliness in the population over the age of 65 years old who live alone, are under social risk, or are socially isolated living on La Palma island. Methods: A quasi-experimental study was designed with pre- and post-intervention (at three months) measurements, with no control group or randomization. A sample comprising 90 subjects was estimated for a small–moderate (0.3) or large (0.8) effect size, with a significance level (α) of 0.05 and a power (1 − β) of 0.8. Results: The intervention was initiated with 90 participants in 8 of the 9 Basic Health Districts from the La Palma Health Area. A moderate effect size (d = −0.77; 95%CI [−1.02, −0.52]) was evidenced in self-perceived loneliness. Three months after the proposed community-based intervention, significant differences were evidenced in adequate eating habits, physical activity, support network, anxiety, depression, and perceived social support. Conclusions: Compartiendo Salud (Sharing Health) presents promising results, as it exerts positive effects on health management among older adults that live alone. The results of this intervention could serve as a model to design replicable strategies in other communities, improving the quality of life and levels of perceived social support in older adults. Full article